Provider Demographics
NPI:1376110379
Name:K&S TRANSPORTATION LLC
Entity Type:Organization
Organization Name:K&S TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KEYONA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-401-4082
Mailing Address - Street 1:10533 N MACARTHUR BLVD APT 1072
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-5295
Mailing Address - Country:US
Mailing Address - Phone:318-401-4082
Mailing Address - Fax:
Practice Address - Street 1:10533 N MACARTHUR BLVD APT 1072
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-5295
Practice Address - Country:US
Practice Address - Phone:318-401-4082
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)